NPIMap

Organization Active NPI

Heart of Florida Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Reddick, FL
National Provider Identifier
1235533845
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEART OF FLORIDA HEALTH CENTER INC
Practice address
4500 NW 152ND LN
Reddick, FL 32686-3200
Phone
(352) 732-6599
NPI assigned
Oct 13, 2014
Last updated
Feb 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Clay
Title
Ceo
Phone
(352) 732-6599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

4500 NW 152ND LN
Reddick, FL 32686-3200

Mailing address

1025 SW 1St Ave
Ocala, FL 34471-0900
Phone (352) 732-6599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080523000427 FL Part B Supplier - Clinic/Group Practice 1355410838 Receives reassigned benefits from 84 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ocala, FL; Reddick, FL; Dunnellon, FL; Belleview, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1235533845. Details of each certification follow.

  • CCN 681001 Federally qualified health center · Active · Name & address match · Details
  • CCN 681166 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 681001

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HEART OF FLORIDA HEALTH CENTER, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 12, 2015
Last certification
Jan 12, 2015
Ownership / control type
For profit – corporation
Facility address
4500 NW 152ND LN
Reddick, FL 32686

Federally qualified health center certification: CCN 681166

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HEART OF FLORIDA HEALTH CENTER REDDICK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 26, 2019
Last certification
Dec 26, 2019
Ownership / control type
For profit – individual
Facility address
4500 NW 152ND Lane
Reddick, FL 32686

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4500 NW 152nd Ln
Reddick, FL 32686
Phone (352) 591-2470

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1235533845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710900",
            "telephone_number": "352-732-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 NW 152ND LN",
            "city": "REDDICK",
            "state": "FL",
            "postal_code": "326863200",
            "telephone_number": "352-732-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF FLORIDA HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-732-6599"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reddick, FL

Sources for this page

Verify at the official NPI Registry.